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Organization

CAROLINAS MEDICAL CENTER

Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
CHS Reproductive Medicine and Infertility
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization

Contact information

Practice address
1025 MOREHEAD MEDICAL DR, STE 525, CHARLOTTE, NC 28204-2963
(704) 355-3149
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207VE0102X
Reproductive Endocrinology Physician

Other

Enumeration date
08/09/2013
Last updated
03/09/2023
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